ADAM PRUCHNICKI (NPI# 1275081424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275081424 |
| Entity Type | Individual |
| Full Name | ADAM PRUCHNICKI |
| Practice Address |
7508 M E Cad Blvd Clarkston MI 48348-4281 |
| Mailing Address |
Po Box 1708 Clarkston MI 48347-1708 |
| Practice Telephone | 2489229200 |
| Practice Fax Number | 2489229700 |
| Mailing Telephone | 2489229200 |
| Mailing Fax Number | 2489229700 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7508 M E CAD BLVD |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48348-4281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679799704 | Scott Alan Burbary | Physical Therapist | 7508 M E Cad Blvd, Suite A, Clarkston, MI 48348-4281 | 2007-04-17 |
| 1962032060 | Laura Lovasco | Physical Therapist | 7508 M E Cad Blvd, Clarkston, MI 48348-4281 | 2020-01-17 |
| 1265072755 | Chelsea Jeske | Physical Therapy Assistant | 7508 M E Cad Blvd, Clarkston, MI 48348-4281 | 2020-01-13 |
| 1821638313 | Brooke Scheffler | Physical Therapy Assistant | 7508 M E Cad Blvd, Clarkston, MI 48348-4281 | 2020-01-13 |
| 1720628225 | Keri Jardine | Physical Therapy Assistant | 7508 M E Cad Blvd, Clarkston, MI 48348-4281 | 2020-01-13 |
| 1649835596 | Allison Smith | Physical Therapy Assistant | 7508 M E Cad Blvd, Clarkston, MI 48348-4281 | 2019-05-07 |
| 1801451760 | Brian Dezelah | Physical Therapy Assistant | 7508 M E Cad Blvd, Clarkston, MI 48348-4281 | 2019-05-07 |
| 1508421462 | Dawn Montle | Physical Therapy Assistant | 7508 M E Cad Blvd, Clarkston, MI 48348-4281 | 2019-05-07 |
| 1659720001 | Ashley Ferris | Physical Therapy Assistant | 7508 M E Cad Blvd, Ste A, Clarkston, MI 48348-4281 | 2016-06-07 |
| 1174990402 | Kim Mccleary | Massage Therapist | 7508 M E Cad Blvd, Ste A, Clarkston, MI 48348-4281 | 2015-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
| 1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
| 1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
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| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825723 | Morgan Malin | Massage Therapist | 9260 Autumnglo Dr, Clarkston, MI 48348-1608 | 2017-04-17 |
| 1902158330 | Meghan Elise Pierce | Massage Therapist | 917 1/2 6th St, Clarkston, WA 99403-2003 | 2012-10-09 |
| 1477786796 | Janet E. Parsons | Massage Therapist | 2921 27th St., Clarkston, WA 99403-1690 | 2009-09-03 |
| 1912131020 | Tara Ashley-finley Paisano | Massage Therapist | 925 8th St, Clarkston, WA 99403-2033 | 2009-05-05 |
| 1538226311 | Melody Jean Acey | Massage Therapist | 1625 5th Street, Clarkston, WA 99403 | 2007-01-02 |
| 1720541469 | Chelsea Thompson | Massage Therapist | 7508 M E Cad Blvd Ste A, Clarkston, MI 48348-4281 | 2019-04-10 |
| 1275017535 | Cynthia Impson | Massage Therapist | 7508 M E Cad Blvd Ste A, Clarkston, MI 48348-4281 | 2018-09-21 |
| 1427544352 | Sara Zapfe | Massage Therapist | 7508 M E Cad Blvd Ste A, Clarkston, MI 48348-4281 | 2018-07-03 |
| 1487027462 | Robert Ball IIi | Massage Therapist | 7508 M E Cad Blvd Ste A, Clarkston, MI 48348-4281 | 2015-11-12 |
| 1174990402 | Kim Mccleary | Massage Therapist | 7508 M E Cad Blvd, Ste A, Clarkston, MI 48348-4281 | 2015-08-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.